Inspection · 2024-03-25
Date
2024-03-25
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 ADMINISTRATION
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING
8VAC20-780 PHYSICAL PLANT
8VAC20-780 STAFFING AND SUPERVISION
8VAC20-780 PROGRAMS
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced renewal inspection was conducted on 03/25/2024. There were 28 children, 11 months- 5 years, and 7 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during free choice activities, in learning activities, during breakfast, and in outside large motor play. The inspector discussed the following with staff: diapering areas, handwashing, outdoor play, background checks, and the licensing process. A total of 5 children?s records, 4 staff records, and 1 applicant record were reviewed. The inspector arrived for the inspection at 8:40 am and departed at 12:15 pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
9Standard 22.1-289.035-B-2
SYSTEMIC VIOLATION
Based on document review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence: The record for Staff 5 contained a documented hire date of 10/04/2023; the employment eligibility letter for Staff 5 was dated 10/10/2023.
Based on document review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence: The record for Staff 5 contained a documented hire date of 10/04/2023; the employment eligibility letter for Staff 5 was dated 10/10/2023.
Plan of Correction: Will make sure that fingerprints are back before hiring.
Standard 22.1-289.035-B-4
SYSTEMIC VIOLATION
Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 02/20/2024. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.
Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 02/20/2024. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.
Plan of Correction: Will request today.
Standard 22.1-289.036-A
SYSTEMIC VIOLATION
Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.
Evidence: The most recent search of the central registry for Applicant 1 was dated 02/11/2019. There was not an updated search of the central registry obtained by 02/11/2024 available for review.
Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter.
Evidence: The most recent search of the central registry for Applicant 1 was dated 02/11/2019. There was not an updated search of the central registry obtained by 02/11/2024 available for review.
Plan of Correction: Will request today.
Standard 8VAC20-780-160-C
SYSTEMIC VIOLATION
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.
Evidence: The most recent tuberculosis screening in the record for Staff 5 was dated 10/20/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 10/20/2023.
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.
Evidence: The most recent tuberculosis screening in the record for Staff 5 was dated 10/20/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 10/20/2023.
Plan of Correction: Will get today.
Standard 8VAC20-780-350-B-3
Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care.
Evidence: There were 9 children and 1 staff member observed with the Pre-K Classroom during the 03/25/2024 inspection. Child 5 was observed in the Pre-K class and was determined to be 2 years old. The required staff-to-child ratio for children 2 years old is 1:8. Two staff would be required for this group of children.
Evidence: There were 9 children and 1 staff member observed with the Pre-K Classroom during the 03/25/2024 inspection. Child 5 was observed in the Pre-K class and was determined to be 2 years old. The required staff-to-child ratio for children 2 years old is 1:8. Two staff would be required for this group of children.
Plan of Correction: A child was moved to another class to meet ratio. Staff will be retrained to recognize when they are going to be out of ratio and speak up.
Standard 8VAC20-780-500-B
Based on observations, the center failed to ensure that the diapering surface shall be used only for diapering or cleaning children.
Evidence: There were 2 boxes of cereal sitting on top of the diapering surface in the 2 year old classroom.
Evidence: There were 2 boxes of cereal sitting on top of the diapering surface in the 2 year old classroom.
Plan of Correction: Will put up a sign to remind staff to not use the changing table to set stuff on.
Standard 8VAC20-780-580-C
REPEAT VIOLATION
Based on observations and staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle.
Evidence:
1. The attendance record for 03/25/2024 contained documentation that there were a total of 15 children in attendance for before school care and transportation to school on that day. Staff 1 stated that they made two trips the morning of 03/25/2024; Staff 1 stated that there was one child on the first trip and the remaining 14 children on the second trip. Observations of the Learn N Play Van 1 (a 15 passenger van) determined that there were only 13 operable seatbelts on the van resulting in one child not being properly restrained during transportation.
2. Staff 6 verified that the binders containing the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center?s name, address and phone number; a list of the names of the children being transported, were not on the Learn N Play Van 1 during the 03/25/2024 morning routes, Staff 6 verified that the binders were left at the center on 03/25/2024. Staff 1 verified that they did not have a list of the names of the children being transported on the morning of 03/25/2024 during transportation.
Based on observations and staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle.
Evidence:
1. The attendance record for 03/25/2024 contained documentation that there were a total of 15 children in attendance for before school care and transportation to school on that day. Staff 1 stated that they made two trips the morning of 03/25/2024; Staff 1 stated that there was one child on the first trip and the remaining 14 children on the second trip. Observations of the Learn N Play Van 1 (a 15 passenger van) determined that there were only 13 operable seatbelts on the van resulting in one child not being properly restrained during transportation.
2. Staff 6 verified that the binders containing the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center?s name, address and phone number; a list of the names of the children being transported, were not on the Learn N Play Van 1 during the 03/25/2024 morning routes, Staff 6 verified that the binders were left at the center on 03/25/2024. Staff 1 verified that they did not have a list of the names of the children being transported on the morning of 03/25/2024 during transportation.
Plan of Correction: Will make sure transportation documents stay on the vans. Will look for a new van with better seatbelts. Will use 2 vans as necessary.
Standard 8VAC20-780-60-A-8
SYSTEMIC VIOLATION
Based on record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan.
Based on record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan.
Plan of Correction: Faxed a copy to be completed to the child's physician during the inspection.
Standard 8VAC20-780-80-A
SYSTEMIC VIOLATION
Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: The attendance record for the group of children that attend the program before being transported to school via center transportation, does not document the departure of each child as it occurs.
Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: The attendance record for the group of children that attend the program before being transported to school via center transportation, does not document the departure of each child as it occurs.
Plan of Correction: Will do a separate attendance record for before and after school programs.